Virtual motor training to improve the activities of daily living,hand grip,and gross motor function among children with cerebral palsy: Meta-regression analysis |
| |
| Affiliation: | 1. The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China;2. Associate Professor and Director, School of Nursing, Department of Medicine, Qingdao University, Qingdao, Shandong, China;3. Health Systems and Behavioural Sciences Domain, Saw Swee Hock School of Public Health, National University of Singapore, Singapore;4. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;1. Department of Human Movement Studies, University of Ostrava, Czech Republic;2. Department of Kinesiology and Nutrition Sciences. University of Nevada Las Vegas, USA;1. Bioengineering Graduate Program, School of Engineering, University of Kansas, United States;2. Department of Mechanical Engineering, School of Engineering, University of Kansas, United States;3. Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, United States;1. Department of Physical Therapy, Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, 92866, USA;2. Department of Electrical and Computer Science Engineering, Fowler School of Engineering, Chapman University, Orange, CA, 92866, USA;1. Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany;2. Dept. Pediatric Neurology and Developmental Medicine, University Children''s Hospital, Tübingen, Germany;3. Dr. von Hauners Children''s Hospital, Ludwig-Maximilians-University Munich, Germany;4. Center for Child Neurology, Sana Klinik Düsseldorf, Germany;1. College of Medicine – Phoenix, University of Arizona, Phoenix, AZ, USA;2. Phoenix Children’s Hospital, Phoenix, AZ, USA;3. School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, USA;4. Department of Mechanical Engineering, Northern Arizona University, 15600 S McConnell Drive, NAU EGR Bldg 69, Flagstaff, AZ 86011, USA;1. Department of Biomedical, Metabolic Sciences and Neuroscience, University of Modena and Reggio Emilia, 42123 Reggio Emilia, Italy;2. Children Rehabilitation Unit, IRCCS S. Maria Nuova Hospital, 42123 Reggio Emilia, Italy;3. Intensive Rehabilitation Unit, S. Sebastiano Hospital, 42015 Correggio (Reggio Emilia), Italy;4. Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, 56128 Calambrone (Pisa), Italy;5. Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy |
| |
| Abstract: | BackgroundGiven that cerebral palsy is a lifelong condition, continuous motor training is necessary to correct abnormal posture and patterns to improve functional performance.ObjectiveTo explore the essential features of virtual motor training and identify its effects on the activities of daily living, hand grip function, and gross motor function among children with cerebral palsy.MethodsTen databases were systematically searched for randomized controlled trials from inception until October 15, 2019. Studies with a randomized controlled trials design, children with cerebral palsy, comparisons of virtual motor training with other interventions, and activities of daily living, hand grip, and gross motor function outcomes were included. Subgroup analyses and meta-regression were performed. The effect size was assessed using random-effects meta-analysis and evaluated by using Hedges’ g. Random effects univariate meta-regression model was used to examine the association of covariates with intervention effectiveness.ResultsSeventeen randomized controlled trials with 853 participants were included. Meta-analysis indicated that the virtual motor training had significant positive effects on activities of daily living (g = 0.31, 95% confidence interval, CI = 0.10, 0.51), grip (g = 0.40, 95% CI = 0.08, 0.71), and gross motor (g = 0.71, 95% CI = 0.43, 0.99) function. Univariate random-effects meta-regression analysis indicated an increase in activities of daily living scores for motion capture systems that used depth imaging compared with those that used digital imaging.SignificanceOur systematic review indicated that virtual motor function may significantly improve ADLs, hand grip, and gross motor functions among children with cerebral palsy. |
| |
| Keywords: | Cerebral palsy Virtual motor training Rehabilitation Activities of daily living Motor performance Systematic review |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
